Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

NGUYEN, ANDREW

NPI: 1154051860 · ODESSA, TX 79761 · General Practice Dentistry · NPI assigned 06/15/2022

$12K
Total Medicaid Paid
593
Total Claims
483
Beneficiaries
9
Codes Billed
2024-01
First Month
2024-04
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 593 $12K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1351 Sealant - per tooth 120 16 $3K
D0120 Periodic oral evaluation - established patient 88 87 $3K
D1120 Prophylaxis - child 44 44 $2K
D1208 Topical application of fluoride, excluding varnish 96 96 $1K
D0220 Intraoral - periapical first radiographic image 82 81 $954.56
D0230 Intraoral - periapical each additional radiographic image 84 80 $898.23
D1110 Prophylaxis - adult 15 15 $768.32
D0274 Bitewings - four radiographic images 21 21 $671.31
D0603 43 43 $0.00